Advertisement

Journal of Anesthesia

, Volume 32, Issue 2, pp 259–262 | Cite as

Neurological prognosis of 6 cases after chest compression during general anesthesia

  • Akiko Hirotsu
  • Yu Suizu
  • Tsutomu Shichino
Special Article
  • 93 Downloads

Abstract

Introduction

Data on the outcomes after chest compression (CC) of patients who are under general anesthesia (GA) are limited. The present study aimed to evaluate the neurological outcomes in patients who received CC while under GA.

Methods

The patients who received CC while under GA, between 2010 and 2015, in Kyoto Medical Center were surveyed retrospectively. The primary outcome was poor neurologic function or death, as defined by a cerebral performance category score (CPC) score of 3–5 on day 28.

Results

Six patients received CC while under GA, and four patients had poor neurological outcomes with a CPC score of 4 or 5 on day 28. All these patients required emergency operation because of their primary disease.

Conclusion

Even if the patients were monitored and immediately managed under GA, ineffective management of preoperative conditions tended to result in the poor neurological prognosis.

Keywords

Chest compression General anesthesia Neurological prognosis 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Fendler TJ, Spertus JA, Kennedy KF, Chen LM, Perman SM, Chan PS. Alignment of do-not-resuscitate status with patients’ likelihood of favorable neurological survival after in-hospital cardiac arrest. JAMA. 2015;314:1264–71.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Ramachandran SK, Mhyre J, Kheterpal S, Christensen RE, Tallman K, Morris M, Chan PS. Predictors of survival from perioperative cardiopulmonary arrests: a retrospective analysis of 2524 events from the get with the guidelines-resuscitation registry. Anesthesiology. 2013;119:1322–39.CrossRefPubMedGoogle Scholar
  3. 3.
    Fukuda T, Ohashi-Fukuda N, Matsubara T, Doi K, Kitsuta Y, Nakajima S, Yahagi N. Association of initial rhythm with neurologically favorable survival in non-shockable out-of-hospital cardiac arrest without a bystander witness or bystander cardiopulmonary resuscitation. Eur J Intern Med. 2016;30:61–7.CrossRefPubMedGoogle Scholar
  4. 4.
    Green CR, Botha JA, Tiruvoipati R. Cognitive function, quality of life and mental health in survivors of our-of-hospital cardiac arrest: a review. Anaesth Intensive Care. 2015;43:568–76.PubMedGoogle Scholar
  5. 5.
    Bhatnagar V, Jinjil K, Raj P. Complete recovery after cardiopulmonary resuscitation in the lateral decubitus position: a report of two cases. Saudi J Anaesth. 2016;10:365.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Sun M, Deng B, Zhao X, Gao C, Yang L, Zhao H, Yu D, Zhang F, Xu L, Chen L, Sun X. Isoflurane preconditioning provides neuroprotection against stroke by regulating the expression of the TLR4 signalling pathway to alleviate microglial activation. Sci Rep. 2015.  https://doi.org/10.1038/srep11445.Google Scholar
  7. 7.
    Constant AL, Montlahuc C, Grimaldi D, Pichon N, Mongardon N, Bordenave L, Soummer A, Sauneuf B, Ricome S, Misset B, Schnell D, Dubuisson E, Brunet J, Lasocki S, Cronier P, Bouhemad B, Loriferne JF, Begot E, Vandenbunder B, Dhonneur G, Bedos JP, Jullien P, Resche-Rigon M, Legriel S. Predictors of functional outcome after intraoperative cardiac arrest. Anesthesiology. 2014;121:482–91.CrossRefPubMedGoogle Scholar

Copyright information

© Japanese Society of Anesthesiologists 2018

Authors and Affiliations

  1. 1.Department of AnesthesiaKyoto University HospitalKyotoJapan
  2. 2.Department of AnesthesiaKyoto Medical Center, National Hospital OrganizationKyotoJapan

Personalised recommendations